整合與推動咀嚼吞嚥重建團隊之照護模式

Integration and Promotion of a Care Model for Chewing and Swallowing Reconstruction Teams

由口進食是一件幸福的事情，然而台灣目前留置鼻胃管人數推估約45萬人。咀嚼吞嚥障礙的原因複雜，要照護此類個案需不同醫事職類共同合作。台灣將於2025年正式進入超高齡社會，65 歲以上、長照機構的住民及腦中風個案為咀嚼吞嚥異常的比率高。每位咀嚼吞嚥障礙個案皆有潛在吸入性肺炎的風險，肺炎也為65歲以上長者死亡因素的第三名，極需醫療照護人員重視與協助。本文藉由介紹高雄市立小港醫院推動咀嚼吞嚥機能重建的整合性照護模式，讓有志於協助個案的醫療團隊對於推動的模式有更深入的理解。整合各職種的資源與人力，共同協助個案提升咀嚼吞嚥的機能，避免不必要的管路留置及吸入性肺炎，共同守護由口進食的幸福感，及提升生活品質。

"Eating with the mouth is one of the basic joys of life. However, some 450,000 people currently live with nasogastric tubes in Taiwan. The causes of dysphagia disorders are complicated. Caring effectively for these cases requires interdisciplinary medical cooperation. Taiwan is expected to become a super-aged society in 2025. In Taiwan, people over 65 years old, residents of long-term care institutions, and stroke cases experience high rates of dysphagia. Every case of dysphagia has a potential risk of aspiration pneumonia, with pneumonia ranking as the third leading cause of death in people over 65 years old. Therefore, this issue demands the attention and assistance of medical care personnel. The integrated care model used at Kaohsiung Siaogang Hospital to promote the reconstruction of dysphagia functions is introduced in this article to help give medical teams interested in assisting cases a deeper understanding of this model. Integrating the resources and manpower of multiple disciplines helps cases improve dysphagia functions and reduces the need for indwelling nasogastric tubes and the incidence of aspiration pneumonia. Let us protect the everyday happiness of eating and improve quality of life."